The Effect of Gamification-Based Instructional Design Developed

NCT07207590 | Not Yet Recruiting

• 1 other identifier: 148-KARAR 31-4.10.2024
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

Turkish) Abstract: Purpose: Considering the importance of postpartum hemorrhage management in reducing preventable maternal deaths and the key role midwives play in providing this care, it is important to increase the knowledge and skills of midwifery students in this area. Many educational curricula offer weekly or semester-long courses. The Ministry also provides post-graduation training. However, considering the rates and causes of maternal deaths, it is thought that there are limitations regarding the retention of this topic. Studies on gamification in different fields and topics demonstrate its positive impact on knowledge retention. The research aims to examine the impact of a technology-based educational intervention using gamification to support midwifery students' learning and retention of knowledge on postpartum hemorrhage management. Materials and Methods: The research will be conducted as a randomized controlled experimental study. The research population will consist of all students enrolled in the Midwifery Program in the 2024-2026 academic year, and the sample will consist of 4th-year Midwifery undergraduate students. The study sample will consist of all students in their fourth year and have completed their course registration during the 2024-2026 academic year, following the finalization of the educational content. Single-blind, stratified randomization will be employed to prevent selection bias. A pretest, posttest, and post-study retention test will be administered during the intervention phase of the study. After data collection, the control group will receive topic review and case analysis through gamification. After a detailed literature review for the study, educational materials will be planned per the Ministry of Health's Postpartum Care and Emergency Obstetric Care guidelines, with identical topic content for the experimental and control groups. The experimental and control groups will receive a PowerPoint presentation on postpartum hemorrhage management, prepared by the researcher, during the first week. One week later, the experimental group will receive topic review and case analysis using a web-based gamification application on postpartum hemorrhage management, developed by the researcher and the game developer. Students in the control group will receive topic review and case analysis using traditional classroom learning techniques. Expert opinions will be sought to evaluate the content created for the experimental and control groups. The pilot group will implement the content created based on expert opinions. After the pilot application, the game and educational content will be finalized based on expert opinions. A pretest will be administered before the training, a posttest after the training and gamification application, and a retention test 3 months after the intervention. The pretest will be administered before the gamification experience and the training, the posttest after the gamification experience and the traditional method, and a retention test 3 months after the training. Data will be collected using an introductory information form and the Postpartum Hemorrhage Knowledge Test. Data obtained from the study will be analyzed in a computer environment using TAP 6 and SPSS (Statistical Package for Social Sciences/25.0 for Windows). The study's independent variable is the gamification teaching activity developed for postpartum hemorrhage management. The dependent variable is the students' descriptive characteristics and their knowledge level about postpartum hemorrhage management. Data will be analyzed using appropriate analysis methods after performing normality tests. Contribution to Science: Using innovative learning styles to improve the quality of education has recently become popular. As new generations grow up in the constantly evolving age of technology, old, classical methods are considered inadequate. Therefore, the plan is to use a web application developed using gamification. This new trend is innovative and technology-infused, entertaining and teaching, and avoids boring and monotonous narratives. This web application aims to help midwifery students learn postpartum hemorrhage management more memorably, enhancing their knowledge and problem-solving skills. While studies on this topic are only beginning to increase in the health field, they are limited in midwifery. Considering the importance of midwives, who play a key role in postpartum hemorrhage management and provide this care in reducing preventable maternal deaths, it is crucial to increase midwifery students' knowledge and skills in this area. A new, affordable, accessible method will be developed to achieve this most effectively. This method will provide equal educational opportunities to students who teach in different cities with varying equipment levels.

Conditions

Midwifery Student

Keywords

Postpartum hemorrhage; Midwife; Learning; Motivation; Education; Student; Gamification; Game; Web application

Outcome Measures

Primary Outcomes (2)

• Introductory Information Form

  This form was composed of 9 questions covering socio-demographic information prepared by the researchers in line with the literature.

  3 months

• Postpartum Hemorrhage Management Knowledge Test

  This will be developed by the researcher based on the educational content developed in accordance with the postpartum hemorrhage algorithm in the Postpartum Care Guide (2018) and Emergency Obstetric Care Guide (2022), prepared by the General Directorate of Public Health of the Ministry of Health. The questions are planned to be multiple-choice problems to measure the knowledge in the training.

  3 months

Study Arms (2)

invervention group: midwifery student

EXPERIMENTAL

Gamified PPH Training

Other: web-based gamification application

control group: midwifery student

ACTIVE COMPARATOR

traditional classroom learning techniques

Other: control group: traditional classroom learning techniques

Interventions

web-based gamification application OTHER

Subject review and case analysis will be performed through a web-based gamification application on postpartum hemorrhage management, which will be prepared and developed by the game developer.

Also known as: intervention group

invervention group: midwifery student

control group: traditional classroom learning techniques OTHER

Students in the control group will be taught topic review and case analysis using traditional classroom learning techniques

control group: midwifery student

Eligibility Criteria

• Age: 17 Years - 25 Years
• Gender Eligibility Details: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Volunteer to participate in the study
• Must be a 4th-year midwifery student
• Must know how to use a scanner
• Must have successfully completed all courses on normal and risky pregnancies and normal and risky births

You may not qualify if:

• Having received any prior training on postpartum hemorrhage management

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Cukurova University

Adana, Adana, 01330, Turkey (Türkiye)

Location

Related Publications (2)

• 41. Ordu Y, Çalışkan N. (2021). Hemşirelik eğitiminde oyun temelli öğrenmede yenilikçi bir yaklaşım: Sanal oyun simülasyonu. JHS. 18(4):657- 664.

  BACKGROUND

• Roman P, Rodriguez-Arrastia M, Molina-Torres G, Marquez-Hernandez VV, Gutierrez-Puertas L, Ropero-Padilla C. The escape room as evaluation method: A qualitative study of nursing students' experiences. Med Teach. 2020 Apr;42(4):403-410. doi: 10.1080/0142159X.2019.1687865. Epub 2019 Nov 18.

  PMID: 31738615 BACKGROUND

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

zeynep seyyide kaya, MSc

CONTACT

+90 552 920 9750; zeynepsbozkurt9555@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Single-blind and stratified randomization will be performed to prevent selection bias.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: September 19, 2025
• First Posted: October 6, 2025
• Study Start: December 1, 2025
• Primary Completion: December 1, 2025
• Study Completion (Estimated): September 1, 2026
• Last Updated: October 6, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)